Impact of Wide-Awake Local Anesthesia No Tourniquet on Departmental Settings, Cost, Patient and Surgeon Satisfaction, and Beyond

Hand Clin. 2019 Feb;35(1):29-34. doi: 10.1016/j.hcl.2018.08.012.

Abstract

This article reviews the impact of wide-awake hand surgery without tourniquet on departmental settings and savings on patients' medical cost, and efficiency of fellowship training and practice of junior hand surgeons in 3 units in 3 countries. The medical cost of the commonly performed procedures is decreased remarkably with this approach in the 3 units. Hand surgery fellowship training and practice of junior surgeons are benefited from this approach in 2 units in Turkey and Switzerland. Overall, this approach improves the surgeons' and patients' quality of life and its application is expanding to almost all procedures of hand surgery.

Keywords: Departmental settings; Efficiency; Hand surgery; Hand surgery training; Local anesthesia; Medical cost; No tourniquet; Quality of life.

Publication types

  • Review

MeSH terms

  • Ambulatory Surgical Procedures* / economics
  • Anesthesia, Local*
  • Anesthesiologists
  • Anesthetics, Local / administration & dosage
  • Attitude of Health Personnel
  • Cost Savings
  • Efficiency, Organizational*
  • Epinephrine / administration & dosage
  • Hand / surgery*
  • Humans
  • Lidocaine / administration & dosage
  • Orthopedic Procedures* / economics
  • Patient Satisfaction
  • Time-to-Treatment
  • Vasoconstrictor Agents / administration & dosage

Substances

  • Anesthetics, Local
  • Vasoconstrictor Agents
  • Lidocaine
  • Epinephrine